J3373

Code

J3373

Description

Injection, vancomycin hydrochloride, 10 mg

CMS HCPCS quarterly update

• 00143-9355-10 Vancomycin HCl, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 750.
• 00143-9357-10 Vancomycin HCl, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 1000.
• 00143-9358-01 Vancomycin HCl, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 500.
• 00143-9359-01 Vancomycin HCl, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 1000.
• 00338-0122-04 Vancomycin HCl, Baxter Healthcare Corporation. Billable units per 11-digit NDC: 500.
• 00338-0124-04 Vancomycin HCl, Baxter Healthcare Corporation. Billable units per 11-digit NDC: 600.
• 00338-3551-48 Vancomycin HCl, Baxter Healthcare Corporation. Billable units per 11-digit NDC: 600.
• 00338-3552-48 Vancomycin HCl, Baxter Healthcare Corporation. Billable units per 11-digit NDC: 600.
• 00338-3580-48 Vancomycin HCl, Baxter Healthcare Corporation. Billable units per 11-digit NDC: 450.
• 00338-3581-01 Vancomycin HCl, Baxter Healthcare Corporation. Billable units per 11-digit NDC: 600.
• 00338-3582-01 Vancomycin HCl, Baxter Healthcare Corporation. Billable units per 11-digit NDC: 450.
• 00338-3583-01 Vancomycin HCl, Baxter Healthcare Corporation. Billable units per 11-digit NDC: 600.
• 00404-9965-99 Vancomycin HCl, Henry Schein Inc.. Billable units per 11-digit NDC: 50.
• 00409-1319-01 Vancomycin HCl, Pfizer Inc. Billable units per 11-digit NDC: 1000.
• 00409-3515-01 Vancomycin HCl, Pfizer Inc. Billable units per 11-digit NDC: 1500.
• 00409-4332-01 Vancomycin HCl, Pfizer Inc. Billable units per 11-digit NDC: 500.
• 00409-5017-01 Vancomycin HCl, Pfizer Inc. Billable units per 11-digit NDC: 1000.
• 00409-6509-01 Vancomycin HCl, Pfizer Inc. Billable units per 11-digit NDC: 500.
• 00409-6509-49 Vancomycin HCl, Pfizer Inc. Billable units per 11-digit NDC: 500.
• 00409-6531-01 Vancomycin HCl, Pfizer Inc. Billable units per 11-digit NDC: 750.
• 00409-6531-02 Vancomycin HCl, Pfizer Inc. Billable units per 11-digit NDC: 750.
• 00409-6533-21 Vancomycin HCl, Pfizer Inc. Billable units per 11-digit NDC: 1000.
• 00409-6533-31 Vancomycin HCl, Pfizer Inc. Billable units per 11-digit NDC: 1000.
• 00409-6534-01 Vancomycin HCl, Pfizer Inc. Billable units per 11-digit NDC: 500.
• 00409-6535-01 Vancomycin HCl, Pfizer Inc. Billable units per 11-digit NDC: 1000.
• 16714-0309-10 Vancomycin HCl, Northstar RxLLC. Billable units per 11-digit NDC: 1000.
• 25021-0150-10 Vancomycin HCl, Sagent Pharmaceuticals. Billable units per 11-digit NDC: 500.
• 25021-0151-20 Vancomycin HCl, Sagent Pharmaceuticals. Billable units per 11-digit NDC: 1000.
• 25021-0157-99 Vancomycin HCl, Sagent Pharmaceuticals. Billable units per 11-digit NDC: 500.
• 25021-0158-99 Vancomycin HCl, Sagent Pharmaceuticals. Billable units per 11-digit NDC: 1000.
• 63323-0203-20 Vancomycin HCl, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 750.
• 63323-0203-26 Vancomycin HCl, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 750.
• 63323-0221-10 Vancomycin HCl, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 1250.
• 63323-0221-16 Vancomycin HCl, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 1250.
• 63323-0284-20 Vancomycin HCl, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 1000.
• 63323-0284-26 Vancomycin HCl, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 1000.
• 63323-0295-61 Vancomycin HCl, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 500.
• 63323-0295-66 Vancomycin HCl, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 500.
• 63323-0314-61 Vancomycin HCl, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 1000.
• 63323-0314-66 Vancomycin HCl, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 1000.
• 67457-0339-50 Vancomycin HCl, Mylan Institutional LLC. Billable units per 11-digit NDC: 500.
• 67457-0340-01 Vancomycin HCl, Mylan Institutional LLC. Billable units per 11-digit NDC: 1000.
• 67457-0341-05 Vancomycin HCl, Mylan Institutional LLC. Billable units per 11-digit NDC: 500.
• 67457-0342-10 Vancomycin HCl, Mylan Institutional LLC. Billable units per 11-digit NDC: 1000.
• 68001-0407-75 Vancomycin HCl, BluePoint Laboratories. Billable units per 11-digit NDC: 1000.
• 68462-0955-51 Vancomycin HCl, Glenmark Pharmaceuticals Inc., USA. Billable units per 11-digit NDC: 500.
• 68462-0956-11 Vancomycin HCl, Glenmark Pharmaceuticals Inc., USA. Billable units per 11-digit NDC: 1000.
• 70436-0020-82 Vancomycin HCl, Slate Run Pharmaceuticals. Billable units per 11-digit NDC: 500.
• 70436-0021-82 Vancomycin HCl, Slate Run Pharmaceuticals. Billable units per 11-digit NDC: 1000.
• 70436-0022-82 Vancomycin HCl, Slate Run Pharmaceuticals. Billable units per 11-digit NDC: 500.
• 70436-0023-82 Vancomycin HCl, Slate Run Pharmaceuticals. Billable units per 11-digit NDC: 1000.
• 70594-0045-02 Vancomycin HCl, Xellia Pharmaceuticals USA, LLC.. Billable units per 11-digit NDC: 500.
• 70594-0046-02 Vancomycin HCl, Xellia Pharmaceuticals USA, LLC.. Billable units per 11-digit NDC: 1000.
• 70594-0047-01 Vancomycin HCl, Xellia Pharmaceuticals USA, LLC.. Billable units per 11-digit NDC: 500.
• 70594-0048-01 Vancomycin HCl, Xellia Pharmaceuticals USA, LLC.. Billable units per 11-digit NDC: 1000.
• 70594-0122-02 Vancomycin HCl, Xellia Pharmaceuticals USA, LLC.. Billable units per 11-digit NDC: 500.
• 70594-0123-02 Vancomycin HCl, Xellia Pharmaceuticals USA, LLC.. Billable units per 11-digit NDC: 1000.
• 70860-0104-10 Vancomycin HCl, Athenex Pharmaceutical Division, LLC. Billable units per 11-digit NDC: 500.
• 70860-0105-20 Vancomycin HCl, Athenex Pharmaceutical Division, LLC. Billable units per 11-digit NDC: 1000.
• 71288-0022-11 Vancomycin HCl, Meitheal Pharmaceuticals Inc.. Billable units per 11-digit NDC: 500.
• 71288-0023-21 Vancomycin HCl, Meitheal Pharmaceuticals Inc.. Billable units per 11-digit NDC: 1000.
• 71288-0024-21 Vancomycin HCl, Meitheal Pharmaceuticals Inc.. Billable units per 11-digit NDC: 750.
• 71288-0025-75 Vancomycin HCl, Meitheal Pharmaceuticals Inc.. Billable units per 11-digit NDC: 500.
• 71288-0026-75 Vancomycin HCl, Meitheal Pharmaceuticals Inc.. Billable units per 11-digit NDC: 1000.
• 72572-0029-10 Vancomycin HCl, Civica, Inc.. Billable units per 11-digit NDC: 1000.
• 72572-0105-01 Vancomycin HCl, Civica, Inc.. Billable units per 11-digit NDC: 500.
• 72572-0207-01 Vancomycin HCl, Civica, Inc.. Billable units per 11-digit NDC: 1000.
• 72572-0801-02 Vancomycin HCl, Civica, Inc.. Billable units per 11-digit NDC: 1000.
• 72572-0803-01 Vancomycin HCl, Civica, Inc.. Billable units per 11-digit NDC: 500.
• 72572-0805-01 Vancomycin HCl, Civica, Inc.. Billable units per 11-digit NDC: 1000.

Source: CMS ASP NDC-HCPCS crosswalk, effective October 1, 2026 through December 31, 2026.